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Organization
GERALD S. SEVACHKO, M.D., INC.
Active
Organization
GERALD S. SEVACHKO, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD S SEVACHKO M.D. (OWNER/PRESIDENT)
(330) 758-3937
Entity
Organization
Contact information
Practice address
7422 SOUTHERN BLVD, YOUNGSTOWN, OH 44512-5629
(330) 758-3937
(330) 758-4956
Mailing address
7422 SOUTHERN BLVD, YOUNGSTOWN, OH 44512-5629
(330) 758-3937
(330) 758-4956
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35031136
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154309
—
OH
Enumeration date
08/28/2006
Last updated
11/09/2011
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